کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5731346 | 1611476 | 2016 | 8 صفحه PDF | دانلود رایگان |
BackgroundWe implemented expanded screening criteria for blunt cerebrovascular injuries (BCVIs) in an attempt to capture the remaining 20% of patients not historically identified with earlier protocols. We hypothesized that these expanded criteria would capture the additional 20% of BCVI patients not previously identified.MethodsScreening criteria for BCVI were expanded in 2011 after identifying new injury patterns. The study population included 4Â years prior (2007 to 2010; classic) and following (2011 to 2014; expanded) implementation of expanded criteria.ResultsBCVIs were identified in 386 patients: 150 during the classic period (2.36% incidence) and 236 in the expanded period (2.99% incidence). In the expanded period, 155 patients were imaged based on classic screening criteria, 62 on expanded criteria (21 complex skull fractures, 20 upper rib fractures, 6 mandible fractures, 2 scalp degloving, 1 great vessel injury, and 12 combination), and 19 for other injuries and symptoms.ConclusionsThere was a significant increase in the identification of BCVI following the adoption of expanded screening criteria, resulting in a substantial reduction of missed injuries. Expanded criteria should be adopted when screening for BCVI.
Journal: The American Journal of Surgery - Volume 212, Issue 6, December 2016, Pages 1167-1174